Laparoscopic ventral hernia repair: early follow-up of a randomized controlled study of primary fascial closure before mesh placement.

Br J Surg 2024; 111: znad434.

In this study that included 192 procedures, closure of the hernia defect did not increase the risk of postoperative hernia site complications, or pain after three months.

Comment: No indication to close the defect unless late issues such as recurrence are more common.